Topic 6 handout stress reduction

579 views
489 views

Published on

Published in: Health & Medicine, Career
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
579
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
5
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Topic 6 handout stress reduction

  1. 1. Slide 1 Stress Reduction Theresa Byrd RN BSN Clinical Coordinator Norton Women’s Heart and Vascular Center ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 2 Objectives • Review data regarding stress in the workplace and its effect on the healthcare professional and patient. • Define stress, causes, and symptoms of stress. • Recognize stress reduction techniques and coping skills. • Identify resources for stress available in the community. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 3 Stress in the Workplace  OSHA declares stress a hazard of the workplace.  Costs American industry over $300 billion annually.  43% of all adults suffer adverse health effects of stress.  75-90% of all doctor visits are for stress-related ailments and complaints. www.webmd.com/mental-health/effects-of-stress-on-your-body ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  2. 2. Slide 4 Surveys on Stress in Workplace 40% of workers report their job is “very or extremely stressful.” Northwestern National Life 29% of workers report they feel “quite a bit or extremely stressed at work.” Yale University 26% of workers report they are “often or very often burned out or stressed by their work.” Families and Work Institute ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 5 Women’s Health Study – Harvard Research  Involved over 17,000 female health professionals.  Women whose work is highly stressful are:  70% more likely to have a heart attack. Have a 40% increased risk of heart disease (heart attacks and need for coronary artery surgery).  Women who worry about losing their jobs are more likely to have high blood pressure, unhealthy cholesterol levels, and to be obese. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 6 Work Stress Has been shown to result in: • Job dissatisfaction • Burnout (physical, emotional, and mental exhaustion) • Staff turnover • Occupational illness and injuries • Reduced mental health • Depression • Suicide Lundstrom et al, Am J Infect Control 2002;30:93-106 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  3. 3. Slide 7 Studies on Job Stress • Found that medical residents feeling overwhelmed correlated with the reported number of minor medical mistakes. • Found a strong relationship between degree of stress (on a stress continuum scale) and the occurrence of patient incidents. • Found availability of technology was significantly associated with lower risk-adjusted mortality. Lundstrom et al, Am J Infect Control 2002;30:93-106 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 8 Studies on Staffing Ratios Understaffing resulted in: • decreased compliance with hand washing • increased rates of blood and body fluid exposure in nurses • increased rates of pneumonia and urinary tract infections Lundstrom et al, Am J Infect Control 2002;30:93-106 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 9 Studies on Staffing Ratios  Found higher rates of infection with MRSA correlated with nurse overtime and the use of temporary staffing.  Found rates of S aureus infection in neonatal ICU was 16 times higher after period of understaffing. Lundstrom et al, Am J Infect Control 2002;30:93-106 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  4. 4. Slide 10 Studies on Job Stress and Burnout • Found that reduced length of stay, lower nurse turnover, and higher evaluations of quality of care significantly associated with: • Caregiver interactions • Unit culture • Leadership • Coordination • Communication • Conflict management Lundstrom et al, Am J Infect Control 2002;30:93-106 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 11 What is Stress? ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 12 What is Stress?  The body’s physical and emotional reaction to change.  Very individual. Everyone perceives and reacts to stress differently.  Positive stress - normal, beneficial to help us keep alert, accomplish tasks, or prevent injury.  Negative stress- harmful if ongoing, chronic, and not dealt with in a healthy manner. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  5. 5. Slide 13 Stress ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 14 Fight or Flight Response  Body reacts to life threatening events.  Elevates levels of stress hormones, adrenaline and cortisol.  Heart rate increases, Breathe faster.  Blood pressure increases –damages artery linings.  Blood sugar increases – may lead to diabetes. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 15 Stress Father of Stress - research 1930’s ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  6. 6. Slide 16 Stressors  Illness – personal, family member, or friend  Becoming a caretaker  Death of a friend or loved one  Problems in relationships with family or friends  Marital conflicts, separation, and/or divorce  Family time management  Childrearing  Financial concerns  Legal problems ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 17 Stressors  Planning a wedding  Pregnancy  Retirement  Perfectionism  Crowds, traffic  Unemployment  Relocation  Starting a new job, job promotion  Work overload, deadlines ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 18 Occupational Stress • The National Institute for Occupational Safety and Health (NIOSH) defines Occupational Stress as: “the harmful physical and emotional responses that occur when the requirements of the job do not match the capabilities, resources, or needs of the worker.” (NIOSH) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  7. 7. Slide 19 Causes of Occupational Stress • Work overload- infrequent rest breaks, long work hours, and shift work • Lack of task control - hectic and routine tasks that have little inherent meaning, do not utilize workers' skills, and provide little sense of control • Role ambiguity - Conflicting or uncertain job expectations, too much responsibility, too many "hats to wear” (NIOSH) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 20 Causes Occupational Stress Organizational factors: • Poor interpersonal relations • Lack of support or help from coworkers and supervisors • Lack of management commitment to core values • Poor or lack of communication • Lack of participation by workers in decision making • Lack of family-friendly policies (NIOSH) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 21 Causes Occupational Stress  Training and career development issues: • lack of opportunity for growth, advancement, or promotion • job insecurity • rapid changes for which workers are unprepared  Conflict between work and family roles and responsibilities  Financial and economic factors (NIOSH) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  8. 8. Slide 22 Causes of Stress in Nurses • Work overload, understaffing, time pressure • Lack of social support at work • Exposure to infectious diseases • Needle stick injuries • Exposure to work-related violence or threats • Sleep deprivation • Role ambiguity • Career development issues • Dealing with difficult or seriously ill patients (NIOSH) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 23 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 24 Causes of Stress in Physicians • Long hours • Excessive workload • Dealing with death and dying • Interpersonal conflicts with other staff • Patient expectations • Threat of malpractice litigation (NIOSH) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  9. 9. Slide 25 Emotional Symptoms • Job dissatisfaction • Anxiety • Easily agitated, frustrated, moody • Irritability or anger • Feeling overwhelmed • Difficulty relaxing and quieting your mind • Feeling worthless, powerless, negative thinking • Feeling lonely, sadness, and depressed ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 26 Physical Symptoms  Low energy, tired, exhaustion, fatigue  Headaches  Upset stomach, nausea, diarrhea, constipation  Aches, pains, and tense muscles (back pain, stiff neck)  Chest pain and rapid heartbeat  Insomnia  Frequent colds and infections  Loss of sexual desire and/or ability  Nervousness and shaking  Cold or sweaty hands and feet  Dry mouth and difficulty swallowing  Clenched jaw and grinding teeth ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 27 Cognitive Symptoms  Constant worrying  Racing thoughts  Forgetfulness, poor memory, and disorganization  Lack of motivation or inability to focus  Poor judgment  Difficulty making decisions  Inability to concentrate  Being pessimistic or seeing only the negative side  Lack of creativity  Loss of sense of humor ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  10. 10. Slide 28 Behavioral Symptoms  Absenteeism  Sleep disturbances  Changes in appetite – either not eating or eating too much  Procrastinating and avoiding responsibilities  Increased use of alcohol, drugs, or cigarettes  Exhibiting more nervous behaviors, such as nail biting, fidgeting, and pacing  Angry outbursts  Social withdrawal  Exercise less ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 29 Consequences of Long Term Stress Stress is “Dis…ease” ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 30 Consequences of Long Term Stress  Cardiovascular disease- heart disease, high blood pressure, abnormal heart rhythm, blood clots, heart attack, heart failure, and stroke  Diabetes  Obesity and other eating disorders  Mental health problems- depression, anxiety, and personality disorders  Gastrointestinal (stomach) Disorders – GERD, gastritis, ulcerative colitis, irritable colon ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  11. 11. Slide 31 Consequences of Long Term Stress  Immune – sick more often, harder to fight off disease  Asthma and other Respiratory Conditions  Skin and hair problems – acne, psoriasis, eczema, hair loss  Menstrual problems – painful menstruation, low fertility  Sexual dysfunction – impotence, loss of desire ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 32 Reducing Stress in Workplace Organizational Change: • Ensure workload is in line with workers’ capabilities and resources • Provide adequate staffing and reasonable shift schedules • Clearly define workers’ roles and responsibilities • Provide organized, efficient, safe work environment and safe equipment (NIOSH) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 33 Reducing Stress in Workplace • Give workers opportunity to participate in decisions and actions affecting their jobs • Improve communication – regular staff meetings • Reduce uncertainty about career development and future employment prospects • Provide opportunity for social interaction among workers (NIOSH) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  12. 12. Slide 34 Reducing Stress in Workplace Stress Management Intervention • Training in coping strategies • Progressive relaxation • Biofeedback • Cognitive-behavioral techniques • Time management • Interpersonal skills • Provide counseling and/or group therapy with mental health provider, Employee Assistance Programs (NIOSH) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 35 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 36 Okinawans • Highest concentration of people 100 years or older • Okinawa - 34 centenarians/100,000 • United States – 10 centenarians/100,000 • Heart disease, stroke, cancer, obesity, and dementia rates are low. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  13. 13. Slide 37 •Purposeful lives – give clear roles and feelings of being needed well into their 100s. •Secure social networks - family, friends, neighbors help each other and give financial and emotional support. • Strong spiritual commitment and a positive outlook on life. Okinawans ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 38 Okinawan Secret of Longevity • Low calorie, plant based diet - 7 servings fruits and vegetables/day, 7 servings of grain/day, fish several times per week, and 2 servings of soy/day. • Minimal dairy products and meat. • Regular exercise that connect the mind and body. • Gardening, walking, dancing, karate. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 39 Coping with Stress  Identify your stress triggers.  Keep a diary and record situations, events, and people who cause you to have a negative physical, mental, or emotional response.  Describe: Where were you? Who was involved? What was your reaction? How did you feel?  Tackle your stress triggers. Find a way to change the circumstances causing it. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  14. 14. Slide 40 Coping with Stress • Set realistic goals – Review goals on regular basis and adjust as needed • Sharpen time management skills. • Make a priority list – do most important things first. • Protect your time – block out time on your calendar to work on an important project. • Delegate Tasks! ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 41 Coping with Stress • Get other points of view and suggestions. Talking can simply relieve stress. • Be with friends and family – have a cup of tea with during break with friend at work. • Phone call with sister. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 42 Coping with Stress S.T.O.P. - Live mindfully and consciously. • S – Stop what you are doing. • T – take a few deep breaths. • O – Observe your body and smile. • P - Proceed with kindness and compassion. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  15. 15. Slide 43 The Dalai Lama suggests: Spend energy focusing on the solution rather than worrying about the problem. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 44 Coping with Stress  Seek professional help. • Talk to your physician, • Mental health provider (Psychologist, psychiatrist). • Employee assistance program. • Take a stress management class (colleges, mental health providers, employer wellness programs). ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 45 Coping with Stress • Think positive – Optimism may affect your quality of life and enable you to cope better. • Focus on one thing at a time – Our conscious cannot multitask. • Take 20 minutes for yourself • Stretch or walk • Sit quietly without an agenda • Explore your spirituality. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  16. 16. Slide 46 Coping with Stress • Make time for activities you enjoy: • Reading , Movie • Socializing • Volunteer • Concert • Art exhibit • Comedy show • Sporting event • Hobby - musical instrument, sewing, gardening, painting, singing, drawing ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 47 Coping with Stress  Treat yourself with love as much as you love others.  Get a massage or try self massage.  Eat healthy – fresh fruits and vegetables, lean protein, whole grains.  Limit alcohol and caffeine.  Coffee raises stress hormone- switch to green tea or chamomile tea  Take a vacation or long weekend when you can. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 48 Coping with Stress  Deep breathing.  Meditation, qigong.  Imagery - Go to your “Happy Place”.  Progressive muscle relaxation.  Listen to music. • Journaling – let your thoughts flow. • Keep a “Gratitude Journal”. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  17. 17. Slide 49 Tai Chi  Improves stress management.  Reduces anxiety and depression.  Lowers blood pressure.  Improves balance, flexibility, and muscle strength.  Increase mental focus and concentration.  YMCA, churches.  Norton Health and Wellness Center – September, 2014 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 50 Yoga  Improves strength, balance, flexibility and coordination.  Reduces stress and anxiety.  Helps blood pressure.  Improves muscle mass and bone density.  Increases mental focus and concentration.  Helps relieve asthma symptoms.  Reduces arthritis pain.  Yoga Nidra Classes - Marshall Women’s Health and Education Center – July 2014 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 51 Coping with Stress  Unplug yourself from the Office!  Each night, block 30 minutes for email.  Turn It Off !  Put Out of Sight!  Don’t play catch up before bedtime – hard from brain to relax and sleep if in work mode. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  18. 18. Slide 52 Coping with Stress  Take it Outside – Be with Mother Nature.  Natural light increases levels of mood lifting chemical serotonin.  Notice the colors, the smells, fresh air.  Feel breeze on your face.  Notice shapes in clouds. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 53 Exercise •Boosts serotonin and immune system. •150 minutes of moderate physical activity per week or 75 minutes of vigorous activity per week. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 54 Stress Balls ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  19. 19. Slide 55 Don’t Smoke, Avoid Secondhand Smoke  Nicotine is a stimulant!  Smoking Cessation Classes: Cooper-Clayton method, behavioral modification program involving nicotine replacement and nicotine reduction therapy, as well as group support.  All classes meet once a week for 13 weeks.  Norton Healthcare - 629-1234.  Louisville Metro Public Health and Wellness - 574-STOP (7867). ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 56 Get Your Beauty Sleep! • Women with poor sleep had higher levels of psychological distress, and greater feelings of hostility, depression, and anger. • Women also had higher levels of C-reactive protein and interleukin-6 inflammation biomarkers. Duke University Study: March 2008 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 57 Fatty Fishes • Salmon, sardines, or tuna fish. • High in Omega 3 fatty acids and Vitamin B12. • Helps protect heart. • Help prevents surges in stress hormones. • Helps with mood disorders, depression and PMS. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  20. 20. Slide 58 Warm Cup of Oatmeal or Green Tea • Oatmeal • Increases serotonin. • High in Vitamin B and Magnesium. • Green Tea • High in antioxidants, flavanoids and catechins that have a calming effect. • Helps you recover from stressful events more quickly. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 59 Fruits and Veggies  Oranges • High in Vitamin C to help boost immune system. • Lowers levels of stress hormone – cortisol.  Spinach • High in Magnesium. • Helps with fatigue and headaches. • Relaxes muscles and calms. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 60 Coping with Stress  Show some love.  Cuddle your pet.  Give an unexpected hug.  Snuggle with your spouse. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  21. 21. Slide 61 Petting your Dog  Body releases feel good hormone – serotonin, prolactin, and oxytocin.  Decrease stress hormone, cortisol.  Decrease blood pressure.  Decreases anxiety.  Boosts immunity. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 62 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 63 Laughter is the best medicine  Increases oxygen and blood flow.  Relieves tension.  Releases good feeling hormones, serotonin.  Reduces cortisol and epinephrine levels.  Belly laugh is good workout for abdominal muscles, diaphragm, shoulders, and heart. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  22. 22. Slide 64 Resources  The Center for Women and Families 24 hour Crisis Line – 877-803-7577  Seven Counties Emergency & Crisis Numbers 24/7 • 502-589-4313 or 1-800-221-0446 For an appointment – 502-589-1100; 1-800-264-8799.  National Suicide Prevention Lifeline 1-800-273-TALK (8255) www.suicidepreventionlifeline.org  Kentucky Suicide Prevention Group (502) 931-3999 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 65 Resources  Location of a Psychologist in Your area – American Psychologist Association – 1-800-964-2000 or www.apahelpcenter.org/  Hosparus/Hospice and Palliative Care – 456-5451  Postpartum Support International Postpartum Support Kentuckiana: 502-541-1818  Postpartum Depression Support Group Norton Suburban: 899-6220  Norton Women’s Counseling Services – Sheila Ward, APRN – 899-6220 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 66 Resources WomenHeart Support Network Coordinators Bev Hurt – 419-0583, Vanessa Rogers – 644-2288, WH-Louisville@womenheart.org ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  23. 23. Slide 67 Resources  Norton Stroke Support Group – 636-7349  Norton Wellness for Life Series – 629-1234  Norton Healthcare Grief Care – 629-5926  Norton Consoling Parents and Consoling Grandparents – 629-2103  Norton Healthcare Church and Health Ministries - 629-2700  Tai Chi or Yoga classes – 629-1234  Norton Music Therapy – 636-7054 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 68 Resources  National Institute for Occupational Safety and Health (NIOSH)  NIOSH Job Stress www.cdc.gov/niosh/topics/stress  Your Portable Guide to Stress Relief www.health.harvard.edu/topic/stress  National Institute of Mental Health “Fact Sheet on Stress” ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 69 Resources  www.nlm.nih.gov/medlineplus/stress.html  www.webmd.com/balance/stress- management/default.htm  www.mayoclinic.com/health/depression/DS00175  www.mayoclinic.com/health/postpartum- depression/DS00546  www.webmd.com/depression/postpartum- depression/postpartum-depression-topic-overview ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
  24. 24. Slide 70 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Slide 71 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________

×